Individual
DR. KIMBERLY VICTORIA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 US HIGHWAY 202/206, BRIDGEWATER, NJ 08807-1746
(908) 722-2033
(908) 707-8344
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA09920700
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA09920700
NJ
Other
Enumeration date
04/13/2011
Last updated
07/21/2022
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